
<table class="floatRight">

	<tr>
		<th valign="middle" align="right"><font color="black" size="2"
			style="font: bold;">Door no : &nbsp;</font></th>
		<td><s:textfield name="address.doorNo" cssClass="inp-form"
			required="true" /></td>

	</tr>

	<tr>
		<th valign="middle" align="right"><font color="black" size="2"
			style="font: bold;">Street 1: &nbsp;</font></th>
		<td><s:textfield name="address.street1" cssClass="inp-form"
			required="true" /></td>

	</tr>
	<tr>
		<th valign="middle" align="right"><font color="black" size="2"
			style="font: bold;">Street 2: &nbsp;</font></th>
		<td><s:textfield name="address.street2" cssClass="inp-form"
			required="true" /></td>

	</tr>
	<tr>
		<th valign="middle" align="right"><font color="black" size="2"
			style="font: bold;">City : &nbsp;</font></th>
		<td><s:textfield name="address.city" cssClass="inp-form"
			required="true" /></td>

	</tr>

	<tr>
		<th valign="middle" align="right"><font color="black" size="2"
			style="font: bold;">State : &nbsp;</font></th>
		<td><s:textfield name="address.state" cssClass="inp-form"
			required="true" /></td>

	</tr>

	<tr>
		<th valign="middle" align="right"><font color="black" size="2"
			style="font: bold;">Country : &nbsp;</font></th>
		<td><s:textfield name="address.country" cssClass="inp-form"
			required="true" /></td>

	</tr>

	<tr>
		<th valign="middle" align="right"><font color="black" size="2"
			style="font: bold;">Pin code : &nbsp;</font></th>
		<td><s:textfield name="address.pincode" cssClass="inp-form"
			required="true" /></td>

	</tr>

	<tr>
		<th valign="middle" align="right"><font color="black" size="2"
			style="font: bold;">Phone no : &nbsp;</font></th>
		<td><s:textfield name="address.phoneNo" cssClass="inp-form"
			required="true" /></td>

	</tr>

</table>